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Patellofemoral replacement Resurfacing surgery replaces areas of damaged or osteoarthritic cartilage on the back of the kneecap and the corresponding groove in the thigh bone with which it articulates (femoral trochlea). A substantial proportion of the Argentine population is born with alterations in the alignment of the patella as a result of an inherited “design” difference and its patellofemoral tracking is deficient. This condition runs in families and its result is the early development of patellofemoral arthritis in the 3rd and 4th decades of life – while the rest of the joint remains unscathed by wear and tear.

knee arthroscopy Arthroscopy is a minimally invasive procedure that allows the surgeon to look at the joint surfaces (smooth articular cartilage), menisci (“sports” or “shock absorber” cartilage), and the main ligaments of the knee (cruciate), and treat and debride (smoothe ) damaged structures. Before surgery you will meet with Dr. Carbó to discuss the operation and listen to and answer any questions that may arise. You will receive a detailed description of the operation based on your symptoms and the results of the images, you will sign the consent for the operation, and the knee to be operated on will be marked. During surgery, digital photographs are taken that will help explain the intraoperative findings and the intervention performed. You will receive a copy of it for your personal medical history. For arthroscopy, a camera is inserted through 2 or 3 very small incisions. The operation is performed under general anesthesia. This is normally an outpatient procedure lasting between 20 and 30 minutes, although occasionally an overnight stay may be recommended, especially if the surgery includes any additional procedures (for example microfracture of seriously damaged cartilage). This surgical technique allows us to treat the following pathologies: Synovial tissue resection Osteochondral lesions, such as detachment of circumscribed lesions or removal of free intra-articular fragments Meniscal injuries, either partial meniscectomies (that is, only the damaged region of the meniscus is removed) or meniscal sutures. Ligament injuries, such as anterior cruciate ligament (ACL) or posterior cruciate ligament (PCL) reconstruction.

Partial knee arthroplasty (Unicompartmental) The knee joint is formed by the union of three bones: the femur (thigh bone), the tibia (leg bone), and the kneecap. The knee has three main compartments: the medial compartment (located internally), the lateral compartment (located externally), and the anterior or patellofemoral compartment (between the kneecap and the femur). When two or more compartments of the knee are severely compromised, total knee replacement (TKR) surgery uses implants that are placed in the bones of the knee. There are patients who will only have one of these three compartments, usually the medial compartment. In the latter there is an arthroplasty that reconstructs only the internal compartment (partial knee arthroplasty). The entire replaced knee may feel strange or feel heavy and not move like the original knee. This can lead to patient dissatisfaction and decreased “quality of life” post-surgery. Recently, innovative changes in the understanding of the biomechanics and function of the knee joint, coupled with novel advances in the design of surgical implants, allow surgeons to replace only the parts of the knee affected by the wear process. By replacing only the damaged parts, and leaving the unaffected parts intact, we hope to achieve a more natural and functional feel in the knees undergoing partial resurfacing arthroplasty, which will allow the patient to participate more actively in recreational activities, while treating arthritis and improving pain and edema. This allows the healthy parts of the knee and native ligaments to work normally, achieving more natural movement and sensation in the knee undergoing partial resurfacing.

Patient Info Areas of Expertise Partial knee arthroplasty Total knee arthroplasty knee arthroscopy Robotic surgery Meniscal injuries Osteotomy Ligament reconstruction Partellofemoral replacement Review in 1 time in infection Biological therapies Cartilage transplant PTR Review